Laserfiche WebLink
�Z -, , <br />... e..o�,�"4� - <br />� - CITY OF EVE�ZE�T--Water Dept. <br />, ; _. <br />Application No.: �.'..:::.�..%. Date...._........_:)�-.........�'........._19..�:_', <br />InsYall ............................. inch water service pipe <br />/ �/ � <br />I'or ....:...�.:1.:.:[._c-.!.•_:.'._.......1..'.1.::%..:.`._5.4..�e;..:'- ...................................... <br />� -, .,- - )i � � ' �� .. <br />On..........�:._ .......::.........._....{_..'7..L..^.,.::.r..........:...;......:..�............... Stieet <br />I,ot .............................................................. Block No..`:................................ <br />:.ddition ...___ ...................................................................................._.......... <br />I'.emarks ................._..................................................�-........................_...... <br />/ , . <br />................................................._ �.:iL.2.L:'S!...-_i:Zr.:�:r.1:.n............................ <br />Supr.rintendent <br />LABOR AND MATERiAL DSED <br />....................... �.................___....I Lcad Cnnnection Complete <br />..........................I................._........ �addlc Completc <br />.......................fl............................ _............_...._.....................___.........................PiPe <br />..................................................... Scrvice Cock <br />__ ..............................._.......... Service Box <br />No. Houra Labor ..............................................Cost.................................................... <br />Culin ............._.....Pavemcut....................X........................ ........................Sq. Ft. <br />....................X........................ �� <br />........................ <br />....................X........................ �� <br />........................ <br />....................X........................ „ <br />........................ <br />Total ....................._Sq. Ft. <br />----- �------------ - <br />Re�narks ..........................................................__......_....._ ............................. <br />............ ......................................................................................................... <br />OxderRecciced .........................................._..................._................. .......... <br />\Vork Complcied ........................._.._... _...___.__ __ __..............._. <br />Forema <br />